0001209191-21-037836.txt : 20210603
0001209191-21-037836.hdr.sgml : 20210603
20210603174551
ACCESSION NUMBER: 0001209191-21-037836
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20210601
FILED AS OF DATE: 20210603
DATE AS OF CHANGE: 20210603
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: ANDERSON KEITH
CENTRAL INDEX KEY: 0001059226
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39515
FILM NUMBER: 21993843
MAIL ADDRESS:
STREET 1: AMERICAN WELL CORPORATION
STREET 2: 75 STATE STREET, 26TH FLOOR
CITY: BOSTON
STATE: MA
ZIP: 02109
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Well Corp
CENTRAL INDEX KEY: 0001393584
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-BUSINESS SERVICES, NEC [7389]
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: 26TH FLOOR
CITY: Boston
STATE: MA
ZIP: 02109
BUSINESS PHONE: 617-205-3500
MAIL ADDRESS:
STREET 1: 75 STATE STREET
STREET 2: 26TH FLOOR
CITY: Boston
STATE: MA
ZIP: 02109
4
1
doc4.xml
FORM 4 SUBMISSION
X0306
4
2021-06-01
0
0001393584
American Well Corp
AMWL
0001059226
ANDERSON KEITH
C/O AMERICAN WELL CORPORATION
75 STATE STREET, 26TH FLOOR
BOSTON
MA
02109
0
1
0
0
Chief Financial Officer
Class A Common Stock
2021-06-01
4
S
0
18095
12.6514
D
1036543
D
Class A Common Stock
741875
I
By Keith W. Anderson 2020 Irrevocable Family Trust
The sale reported in this Form 4 was effected pursuant to the terms of a Rule 10b5-1 trading plan adopted by the reporting person on December 31, 2020, as amended, and was made in order to pay the tax liability arising from the vesting and settlement of restricted stock units on June 1, 2021.
/s/ Bradford Gay as attorney-in-fact for Keith Anderson
2021-06-03